MARK FAGELMAN (Credential# 540816) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
MARK FAGELMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013675. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 11 Medical Park Dr, Pomona, NY 10970. The current status is inactive.
| Licensee Name | MARK FAGELMAN |
| Credential ID | 540816 |
| Credential Number | 1.013675 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 Medical Park Dr Pomona NY 10970 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1969-01-17 |
| Effective Date | 2012-05-01 |
| Expiration Date | 2013-04-30 |
| Refresh Date | 2013-08-05 |
| Street Address | 11 MEDICAL PARK DR |
| City | POMONA |
| State | NY |
| Zip Code | 10970 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos B Barrett | 44 Phyllis Dr, Pomona, NY 10970 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Leonard Jackson | 26 Firemens Memorial Dr #201, Pomona, NY 10970 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Maureen E Daly | 8 Brevoort Drive, Pomona, NY 10970 | Notary Public Appointment | 2004-01-16 ~ 2009-01-31 |
| Ellen Stanton | 11 Camp Hill Road, Pomona, NY 10970 | Notary Public Appointment | 1997-03-04 ~ 2002-03-31 |
| Michael V Cerrato | 216 Country Club Lane, Pomona, NY 10970 | Advanced Emergency Medical Technician | 2019-07-01 ~ |
| Tennier Industries Inc | Po Box D200, Pomona, NY 10970 | Manufacturer of Bedding & Upholstered Furniture | 2007-05-01 ~ 2008-04-30 |
| Indoor Climate Management LLC | 8 Charles Lane Apt 1e, Pomona, NY 10970 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Edward G Hall Md | 29 Ravenna Drive, Pomona, NY 10970 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Johnice Toni Ellison | 4 Leadore Lane, Pomona, NY 10970 | Registered Nurse - Temporary | 2017-03-22 ~ 2017-07-19 |
| Elad Mor | 9301 Overhill Drive, Pomona, NY 10970 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 10970 | |||
| City | POMONA |
| Zip Code | 10970 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + POMONA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
| Mark N Lobato | Ms # 11-tub, Hartford, CT 06134 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Mark Snyder | 120 Terrace Ln, Hannibal, MO 63401-2768 | Physician/surgeon | ~ |
| Mark L Fox | 145 Huguenot St Ste 610, New Rochelle, NY 10801-5200 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Ron Mark | 6 Annette Way, Jericho, NY 11753 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mark Dam | 15 Barringer Rd, Darien, CT 06820-2012 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mark Levin | 6 Gel Ct, Monsey, NY 10952-1956 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mark L Friedman | Po Box 298, Newbury, NH 03255-0298 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mark I Robbins | 211 Grove Rd, Rye, NH 03870-2508 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Please comment or provide details below to improve the information on MARK FAGELMAN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).